为了有效的直接控制食管曲张静脉破裂的出血点,我们设计在脾切除时行冠状静脉主干结扎,直接插管滴注硬化剂。在尸体解剖和动物实验的基础上,应用于临床50例急症大出血或间歇期未出血的病人。在胰腺上缘结扎冠状静脉主干可避免遗漏高位食管支。术中测压证明冠状静脉压力显著高于门脉其他属支,主干结扎后胃侧属支压力平均降低 In order to directly control the bleeding point of esophageal variceal rupture effectively, we designed the main coronary vein ligation at the time of splenectomy and direct intubation of sclerosant. On the basis of autopsy and animal experiments, applied to 50 cases of clinical emergency bleeding or intermittent non-bleeding patients. Ligation of the coronary vein in the upper edge of the pancreas to avoid missing the high esophageal branch. Intraoperative manometry showed that coronary venous pressure was significantly higher than the other branches of the portal vein, the main gastric pressure after gastric ligation decreased